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中心静脉导管断裂碎片栓塞导致的室性心动过速:一种常用操作的罕见并发症——病例报告及相关文献综述

Ventricular Tachycardia from a Central Line Fracture Fragment Embolus: A Rare Complication of a Commonly Used Procedure-A Case Report and Review of the Relevant Literature.

作者信息

Biswas Saptarshi, McNerney Patrick

机构信息

Department of Trauma and Acute Care Surgery, Allegheny Health Network, Pittsburgh, PA, USA.

出版信息

Case Rep Crit Care. 2015;2015:265326. doi: 10.1155/2015/265326. Epub 2015 Dec 3.

Abstract

A 22-year-old male admitted with multiple gunshot wounds (GSW) had central line placed initially for hemodynamic monitoring and later for long term antibiotics and total parenteral nutrition (TPN). On postoperative day 4 he presented with bouts of nonsustained ventricular tachycardia; the cause was unknown initially and later attributed to a catheter fragment accidentally severed and lodged in the right heart. Percutaneous retrieval technique was used to successfully extract the catheter fragment and complete recovery was achieved.

摘要

一名22岁男性因多处枪伤入院,最初置入中心静脉导管用于血流动力学监测,后来用于长期抗生素治疗和全胃肠外营养(TPN)。术后第4天,他出现了非持续性室性心动过速发作;起初原因不明,后来归因于一根导管碎片意外切断并嵌入右心。采用经皮取出技术成功取出导管碎片,患者完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d814/4681828/7114d50b96f7/CRICC2015-265326.001.jpg

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